| 英文摘要 |
Amongst the 16 abnormal fall events that occurred in the Department of Nursing in 2012, the greatest number of abnormal fall events occurred in this division. In addition to the patient harm they caused, one of the four events resulted in a serious injury that wasted an enormous amount of the hospital’s medical resources. Hemodialysis patients are more prone to falling and injury so a task force was established to reduce fall incidence among patients of the hemodialysis outpatient clinic. Analysis showed that the problems included risk factors present in the environment, insufficient patient education on fall prevention, and nurses failing to perform fall-prevention measures. Strategies and solutions were formulated to solve these problems: removal of environmental risk factors, standardization of fall-prevention nursing procedures, organizing of on-the-job-training, more vivid and attractive educational handouts and posters, creation of patient educational DVDs for fall-prevention in simulated scenarios, organizing of group patient education forums, and regular inspections on the execution of fall-prevention measures by nurses. These solutions effectively reduced fall incidence from 0.009% to 0.002% and fulfilled the project goal. Patient safety and nursing quality were also enhanced. |
